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胶质母细胞瘤患者同步放化疗

[Concomitant radiotherapy with chemotherapy in patients with glioblastoma].

作者信息

Benouaich-Amiel Alexandra, Simon Jean-Marc, Delattre Jean-Yves

机构信息

Service de neurologie Mazarin, CHU Pitié-Salpêtrière, 47-84, bd de l'Hôpital, 75013 Paris.

出版信息

Bull Cancer. 2005 Dec;92(12):1065-72.

Abstract

Glioblastomas are the most frequent and the most aggressive primary brain tumors in adults. Therapeutic strategy is challenging because of radioresistance and chemoresistance explaining the poor prognosis (median survival of 12 months). Standard therapy consisted until recently of surgery and postoperative radiotherapy while the impact of chemotherapy (investigated as adjuvant, neo adjuvant therapy or concomitant with irradiation) was a matter of debate. However a recent phase III study has concluded to the benefit of adjuvant temozolomide administered during and after radiotherapy. This strategy is yet to become a standard.

摘要

胶质母细胞瘤是成人中最常见且侵袭性最强的原发性脑肿瘤。由于存在放射抗性和化学抗性,导致预后较差(中位生存期为12个月),因此治疗策略颇具挑战性。直到最近,标准治疗方法一直是手术和术后放疗,而化疗(作为辅助治疗、新辅助治疗或与放疗同时进行)的效果一直存在争议。然而,最近一项III期研究得出结论,放疗期间及放疗后给予辅助性替莫唑胺是有益的。但这一策略尚未成为标准治疗方法。

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